Provider Demographics
NPI:1194452615
Name:JOURNEY TOGETHER
Entity type:Organization
Organization Name:JOURNEY TOGETHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSY, D
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:248-985-3580
Mailing Address - Street 1:27800 RAINBOW CIR
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3269
Mailing Address - Country:US
Mailing Address - Phone:248-985-3580
Mailing Address - Fax:
Practice Address - Street 1:42207 ANN ARBOR RD E
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4364
Practice Address - Country:US
Practice Address - Phone:248-985-3580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty